Abstract

*Jannat Anjum, Muhammad Bilal and Bushra Gull

ABSTRACT

Objective: This study's main objective was to find CT and quick scans' efficiency in patients who suffer from blunt abdominal trauma in emergencies. Place and Duration of Study: This study was performed in Sargodha DHQ Teaching Hospital for seven months from May 2019 to November 2019. Material and Methods: This study included patients with blunt abdomen trauma and stable emergencies. Patients received routine CT and Fast scan investigations after the initial trauma protocol. Patients were informed and consent was obtained after a positive CT or FAST scan sign was found. The first FAST scan was received in patients, followed by a CT scan. The study excluded patients with negative scanning. In addition, X-rays were obtained from the abdomen and chest to exclude other abnormalities. All these patients received CT scans, although negative results were seen in patients. In all these patients both scans were obtained even after FAST scanning abnormalities. In addition to analysis of all organs, the abdomen and pelvis kept the fluid free. Passed the NG tube by decompressing the stomach to remove air. For better results, oral and IV contrasts were given. A delayed scan of suspected kidney injury was performed. Patients were described as positive and negative for any fluid or abdominal injury. Results: 56 patients were divided into 12 women and 44 men in this study. In emergencies, the most common age group was 18-40. The most frequent cause of trauma was RTA 58.9%, followed by a 32.1% decrease in altitude. Sport injuries included 7.1%, fighting history 0.18%. The most frequently injured organ was 73.2% liver, 46.4% kidney, 51.8% spleen and 12.5% pancreas. These 56 patients had both CT and FAST scanned. Positive results were found in 49 patients with a FAST scan (87.5%) but were missed in 7 patients (12.5%) and only one (1.6%) CT scan was missed. Fluid was divided into three groups: mild, moderate and severe. The presence of fluid is only mild in approximately 100-200 ml of a single amount of fluid. Moderate fluid was defined in 2 pelvic areas with a fluid of around 250-500 ml. The presence of fluids over 500 was markedly large in all areas.